Do I need to bring my insurance card with me when I visit?

Yes, the information on your insurance card is needed for us to file a claim with your insurance provider. When you register, we will ask for information about your insurance coverage and have you sign a few forms. This registration process goes much faster when you bring your insurance information with you.

 

What insurance companies do you accept payment from?

We are currently credentialled with Medicare, Medicaid, Tricare, BlueCross-BlueShield of SC, and most major insurance payers. Please check with our front office staff (or call 803-438-6023) whether we are in network with your current insurance provider.

 

How do I follow up with my insurance company?

Before you call, have available your insurance card, date of service, original billed amount, patient name, and claim number (if applicable). Obtain satisfactory status of account. If paid, ask when and to whom. Note this information and who you talked to at the insurance company. If the bill has not been paid, find out when is the anticipated time frame of payment, and ask if they need anything from you.

 

How will I know if my insurance company has paid my bill?

After your insurance company has paid its portion of your bill, we will send you a statement of account. This statement will indicate payments and adjustments that have been posted to your account and any balance you are required to pay. You may also receive an explanation of benefits from your insurance company.

 

How long will it take to get things settled with the insurance company?

Under South Carolina law, an insurance carrier has 30-45 days from receipt of claim to make a payment. We work with government payers to resolve your claim and with commercial insurance carriers for up to 60 days. If the commercial claim has not been resolved in that time, then as you agreed upon at the time of admission, you will ultimately be responsible to resolve the balance.

 

What billing or insurance information will I receive?

You may request a copy of your itemized statement; otherwise, after insurance has paid, we will provide you with a monthly statement of your acccount. 

 

I received a notice that my insurance company has paid their portion of my bill, but I can't understand how they calculated their payment amount. Could you help?

If we have received any such information from your insurance company, we'll be glad to share it with you. However, for answers to any questions about insurance payments, deductibles, or co-payments, you generally need to check with your insurance company.

 

What if I am uninsured or have a high-deductible plan?

Please call our front office staff at 803-438-6023 to discuss options.

AparHealth Primary Care

116 Standard Warehouse Road, Lugoff, SC - 29078

Phone: 803-438-6023

Fax: 803-675-7601